Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Bauer

Individual provider Family Nurse Practitioner · NPI 1982532297

Stephanie Bauer is a Nurse Practitioner in Bristol, Tennessee. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in Tennessee and Virginia.

Years since qualifying
2
Licensed in
TN, VA
In the registry since
2026
Specialties on file
2

Practice location Address checks out

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone: (423) 844-1121
Fax: (276) 258-3701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 245 Medical Park Dr, Marion, VA 24354-1100 — (276) 378-3106

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 37855 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024197466 (VA)

Record details

NPI number1982532297
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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